Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $67.14 / $209.48	Facility		$67.14	$67.14	$209.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $67.14 / $151.63	Professional		$67.14	$67.14	$151.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.88 / $157.49 / $300.08	Facility		$83.88	$157.49	$300.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.31 / $11.90 / $11.90	Professional		$11.31	$11.90	$11.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $47.60 / $172.83	Professional		$47.60	$47.60	$172.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $186.82 / $423.60	Facility		$67.14	$186.82	$423.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $98.78 / $118.53	Professional		$67.14	$98.78	$118.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $46.67 / $49.51	Professional		$46.67	$46.67	$49.51